| NPI | 1407086812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: DE C2-0010488) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C2-0010488) |
| 208000000X Pediatrics (Licence: DE C2-0010488) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2016-04-05 |